Michelle A Rathfelder, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1501167 Issued in OH

Practice address

335 Buckeye Blvd
Port Clinton, OH 43452-1423

Phone

(419) 734-2942

Fax

(419) 734-4922

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1801884655
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1750752887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BUCKEYE BLVD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521423",
            "telephone_number": "419-734-2942",
            "fax_number": "419-734-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHFELDER",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1501167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgie U Que, M.D.
• Kristen Marie Quisno-Witt, CCC-SLP
• Radiology Services of Ohio, Inc.
• Kevindeep Raju, PHARMD
• Alice H Randolph, EDD MSCP
• Madeline Marie Recker, PHARMD
• Angela Reineck, R.N.
• Patrick Anthony Reineck, D.D.S.
• Jade Marie Reynolds
• Crystal Ann Rider

• Social Worker in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.